Healthcare Provider Details

I. General information

NPI: 1417876756
Provider Name (Legal Business Name): PRIME BIZZ LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2026
Last Update Date: 07/11/2026
Certification Date: 07/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

239 4TH AVE STE 1401
PITTSBURGH PA
15222-1715
US

IV. Provider business mailing address

474 N 32ND ST
HARRISBURG PA
17111-1705
US

V. Phone/Fax

Practice location:
  • Phone: 717-704-2341
  • Fax:
Mailing address:
  • Phone: 717-704-2341
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MOSHIN SIDDIQUI
Title or Position: CEO
Credential:
Phone: 717-704-2341